Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Broussard, DO

Individual provider Psychiatry Physician · NPI 1376744771

Jason Broussard, DO is a Psychiatry in Shreveport, Louisiana. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2006, 20 years ago. Practices with Access Serenity of Louisiana LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
20
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
LA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1111 Line Ave Fl 3
Shreveport, LA 71101-3841
Phone: (318) 716-4610
Fax: (318) 716-4690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence DO.000136 (LA)

Record details

NPI number1376744771
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2006 (20 years in practice)
Group practice Access Serenity Of Louisiana Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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